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International Orthopaedics

Published in:

01-05-2014 | Original Paper

Multi-plate reconstruction for severe bicondylar tibial plateau fractures of young adults

Authors: Qilin Zhai, Chengfang Hu, Congfeng Luo

Published in: International Orthopaedics | Issue 5/2014

Abstract

Purpose

This study was to evaluate clinical outcomes and complications following multi-plate reconstruction for treating severe bicondylar tibial plateau fractures of young adults.

Methods

Between September 2007 and February 2012, 26 patients with severe bicondylar tibial plateau fractures met inclusion criteria; they were treated using multi-plate technique through combined approaches. Patients received an average follow-up of 40.8 (range, 18–64) months, which included anteroposterior and lateral imaging, postoperative complications, range of motion and stability of the knee. The Rasmussen score was applied for functional and radiological evaluation.

Results

Three to five plates were used for reconstruction. No intra-operative complications occurred. Postoperative complications included bulge of hardware in four patients and superficial dehiscence in three cases in the anterolateral incision of which one developed to deep infection. There was no neurovascular damage, and no implant breakage or loosening. Hardware was removed partly or totally in 16 cases. The average Rasmussen score at final follow-up was 27.2 (range, 21–30) points for functional evaluation and 16.4 (range, 14–18) for radiology.

Conclusions

Multi-plate reconstruction is a valid and safe method for treating severe bicondylar tibial plateau fractures of young adults.

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Title: Multi-plate reconstruction for severe bicondylar tibial plateau fractures of young adults
Authors: Qilin Zhai
Chengfang Hu
Congfeng Luo
Publication date: 01-05-2014
Publisher: Springer Berlin Heidelberg
Published in: International Orthopaedics / Issue 5/2014
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-013-2211-z

At a glance: The STEP trials

Springer Medicine

Multi-plate reconstruction for severe bicondylar tibial plateau fractures of young adults

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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